HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
Job Address 1 5 7 U J
Nature of Work Building Permit
s ea/
No. 6877
vikue, ea
Use of Building
Owner Locd
tfuo
PKrY\j- 541.-6
tcbickuk) 350. oLj
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPHONE: (970) 945-8212
(6 Applicantto complete numbered spaces only. PERMIT NO. Q
INSPECTION LINE: (970) 945-9159
PARCEL/SCHEDULE NO.
JOB ADDRESS:
1
LOT NO. BLOCK NO. SUBDIVISION/EJIION
2O---;-1",
'. 4�
[
AOD1tF�' y�? U
{/ LLQ-,
/666
2 %
WK PH:
3
ccerrRAcraL4ed h
iii
�yq 7 1�d
,,
a
6K03 -
v/i
4
ARCEITTECT/EMINEER
t
ADDRESS
PH
LIC NO:
5
Q. Fr. OFSODLINM 2 2.._4/1 45 4r
/
SQ. Fr. OF LOT
IEIGEET rlig /
!
NO. OF FLOORS
6
USE OF /`}. c
�V L5'
8
CLAMS OF WORK, DNEW f oADDIPION a ALTERATION LMOj'E cELEMOVE
9
710
GARAGE: UBIN E DERRIERE CARPORT: uaLW8.R oDOUBLE
o DRIVEWAY PERMIT ❑ON EOM SEWAGE MEDIAL (SEPTIC) MDT PIAN
VALUATION OF WORE f
!/i ADJUSTED VALUA1Sar7:f /r .7T —
Jf_ 1YV lam/ ® 7,
SPECIAL COMMONS:
. 0 '
A SEPARATE
COLORADO.___
S PERMIT
TIES
AUTHORIZED
WORK IS
AFTER WORK
I HEREBY
KNOW THE
GOVERNING
HEREIN
AUTHORITY
LOCAL
CONS 'Ua
NOTICE
ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STA []F
BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
IS COMMENCED,
CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
-THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
REGULA 1. a C s ' TRUCTIO OR THE PERFORMANCE OF
a . o
Q� Q�
' Date C! rJ
P " CHECK FEE:
��
PERMIT FEE
/9`
TOTAL FEE: DATE PERMIT ISSUED:
��rr77 �
tf�a /
OCC; GROUP:
/ /
I
CONST: TYPE:
Y J
Y
ZONING:
SETBACKS:
Signature ..
' '
� . _ Dept.
1 . er, C . , • .. or 'Who •,:--. agent having re///. . . . ... . „ .d notice above.
s f . -� f 7 �a J/
i� ...���444
/
HOME:
EDS NO. •k IEE:
ApprovatTlate Planning Dept.
AGREEMENT
PERMIS SION IS HEREBY GRANTED TO THE APPLICANT AS OWNED, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY
GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.26.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY
COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM
THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT USE BUILDING OFFICIAL FROM THEREAFTER REQUIRING TFC.
CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN
VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUI.IEI) THEREAFTER DOES NOT CONSTITUTE AN ACc;rrIANCE OF ANY
RESPONSIBILITIES OR LIABILIIIFS BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION
DURING CONSTRUCTION RESTS SPECIFICALLY WITH CHH ARCHITECT, DESIGNER. BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE, AND IN SUPPORT
OF THE OWNERS INTEREST_
Garform.003 I HEREBY ACKNOWLEDGE THAT I' HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. f INITIAL)
YUJL / f ✓
4-7/9 g 1.�3
The following items are required by Garfield County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector.
2. A permanent address assigned by the Garfield County Building Department posted where
it is readily visible from an access road.
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, kitchen
floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary, plumbing.
4. A complete bathroom, with wash bowl, tub or shower, toilet stool, hot & cold running
water, all floors and walls finished and a privacy door.
5. All steps inside or outside over three (3) steps must have handrails. All balconies or decks
over 30" high mush have guardrails constructed to meet all 1994 UBC requirements.
6, Outside grading done to where water will detour away from the building.
7 Exceptions to the outside steps, decks and grading may be made upon the demonstration
of extenuating circumstances, i.e., weather, but a Certificate of Occupancy will not be
issued until all the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
ITEMS HAVE BEEN COMPLETED.
****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY
(C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE
CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATION
PREMISES UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
Certificate of Occupancy for the dwelling under building permit #
c:Icbwlfinal.wpd
/ate
igiC12te//,7
099•Zci
49:c:0';
965,729
GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
CONSTRUCTION OF
COMMERCIAL OR MULTI -FAMILY RESIDENTIAL BUILDINGS
including
NEW CONSTRUCTION
ADDITIONS
ALTERATIONS
and
MOVED BUILDINGS
In order to understand the scope of the work intended under a permit
application and expedite the issuance of a permit it is important that
complete information be provided. Adequate and complete information will
prevent delays in the plan review process. Reviewing a plan and the
discovery that required information has not been provided by the applicant
may result in the delay of the permit issuance and in proceeding with
building construction. The owner or contractor may be required to provide
this information before the plan review may proceed. This causes delays
because other plans that are in line for review may be given attention before
the new information may be reviewed after it has been provided to the
Building Department.
Please review this document to determine if you have enough
information to design your project and provide adequate information to
facilitate a plan review. If you do not, it may be helpful to obtain a book
titled "Dwelling construction under the Uniform Building Code. This
book is available to you through this department at our cost. Also,
please consider using a design professional for assistance in your
design and a construction professional for construction of your project.
To provide for a more understandable plan in order to determine
compliance with the building, plumbing and mechanical codes, applicants
are requested to review the following check list prior to and during design.
x
Applicants are required to indicate appropriately and to submit completed
check list at time of application for a permit:
1.
Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
ease encs and utilityasements?
Yes Nor c�� Not necessary for this project (2)
2. Are the plans submitted for application construction drawings and not
drawings that are stamped or marked identifying them as "Not for
construction, for permit issuance only", "Approval drawings only", "For
permit issuance only" or similar language?
Yes No (1) Not necessary for this project (2)
3. Does the site plan include the location, including the distances to
property lines, wells (on subject property and adjacent properties) ,
streams or water courses of the I.S.D.S. (Individual Sewage Disposal
System) and has the system been designed, stamped and signed by a
Colorado registered engineer?
Yes No _L_u Not necessary for this project,4 2)
4. Does the site plan indicate the location and direction of the State, County
or private road access g the property?
Yes No / _c►, Not necessary for this project (2)
5. Do the plans include a foundation plan indicating the size, location and
spacing of all reinforcing steel in accordance with the uniform building
code or per stamped engineered design?
Yes .__ No a Not necessary for this project (2)
6. If the building is a pre-engineered structure, is there a stamped, signed
engineered foundation plan for this building?
Yes _ No n, Not necessary for this project (2)
7. Do the plans indicate the location and size of ventilation openings for
under floor crawl spaces and the clearances required between wood and
earth?
Yes No (i} Not necessary for this project (2)
8. Do the plans indicate the size an location of ventilation openings for the
attic, roof joist spaces and soffits?
Yes No ►, Not necessary for this project (2)
2
9. Do the plans include design loads as required under the Uniform
Building code for roof snow loads, ( a minimum of 40 pounds per
square foot in Garfield County)?
Yes y' No (1) Not necessary for this project (2)
10. Do the plans include design loads as required for floor loads under
Uniform Building Code Section 2304 and Tables 23-A and 23-B?
Yes No n, Not necessary for this project (2)
11. Does the plan include a building section drawing indicating foundation,
wall, floor and roof construction?
Yes No (1) Not necessary for this project (2)
12. Is the wind speed and exposure design included in the plan?
Yes _ No (1) Not necessary for this project (2)
13 Does the building section drawing include size and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes No (1) Not necessary for this project (2)
14 Does the building section drawing or other detail include the method of
positive connection of all columns and beams?
Yes No (1) Not necessary for this project (2)
15. Does the plan indicate the height of the building or proposed addition
from the highest point of the building or addition measured at mid span
between the ridge and the eave down to existing grade contours?
Yes No (1) Not necessary for this project ______(2)
16. Does the plan include any stove or zero clearance fireplace planned for
installation including make and model and Colorado Phase II
certifications or phase II EPA certification?
Yes No (1) Not necessary for this project ._____12,
17. Does the plan include a masonry fireplace including a fireplace section
indicating design to comply with the Uniform Building Code: Chapter 37?
Yes No (1) Not necessary for this project ._____(2)
18. Does the plan include a window schedule or other verification that
egress/rescue windows from sleeping rooms and/or basements comply
with the requirements of the Uniform Building Code?
Yes No (1) Not necessary for this project
19. Does the plan include a window schedule or other verification that
3
windows provide natural light and ventilation for all habitable rooms?
Yes No (n Not necessary for this project (2)
20. Do the plans indicate the location of glazing subject to human impact
such as glass doors, glazing immediately adjacent to such doors;
glazing adjacent to any surface normally used as a walking surface;
sliding glass doors; fixed glass panels; shower doors and tub enclosures
and specify safety glazing for these areas?
Yes No (i) Not necessary for this project (2)
21. Do the plans include a complete design for all mechanical systems
planned for installation in this building?
Yes No (I) Not necessary for this project (2)
22. Have all areas in the building been accurately identified for the intended
use? (Occupancy as identified in the Uniform Building Code Table 5-A)
Yes No (i) Not necessary for this project (2)
23. Does the plan indicate the quantity, form, use and storage of any
hazardous materials that may be in use in this building?
Yes No (1) Not necessary for this project (2)
24. Is the location of all natural and liquid petroleum gas furnaces, boilers
and water heaters indicated on the plan?
Yes No (1) Not necessary for this project (2)
25. Do the plans indicate the location and dimension of restroom facilities
and if more that four employees and both sexes are employed, facilities
for both sexes?
Yes No u, Not necessary for this project (2)
26. Do the plans indicate that restrooms and access to the building are
handicapped accessible?
Yes No w Not necessary for this project (2)
27. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes No (i) Not necessary for this project (2)
28. Have you designed or had this plan designed while considering building
and other construction code requirements?
Yes No (3)
29. Does the plan accurately indicate what you intend to construct and
4
what will receive a final inspection by the Garfield County Building
Department?
Yes No (3)
30. Do you understand that approval for design and/or construction
changes are required prior to the implementation of these changes?
Yes No (3)
31. Do you understand that the Building Department will collect a "Plan
Review" fee from you at the time of application and that you will be
required to pay the "Permit Fee" as well as any "Septic system " fees
required, at the time you pick up your building permit?
Yes No (3)
32. Are you aware that you are required to call for all inspections required
under the Uniform Building Code including approval on a final
inspection prior to receiving a Certificate of Occupancy and occupancy
of the building?
Yes No c3,
33. Are you aware that the person signing the Permit Application whether the
"Owner", "Agent of the Owner", "General Contractor", "Contractor" or
otherwise, signing the application is the party responsible for the
project complying with the Uniform Codes".
Yes No (3)
I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
I
signature
9/7 9f
date
Phone: A3 - z/ & (days); ,Sc - -i (evenings)
93 y i�
y63 zh,_C
Project Name:
Project Address: /4"23- 3 /c
(Refer to notes on next page)
5
Notes:
(1) If you have answered "No" on any of these questions you may be required
to provide this information at the request of the Building Official prior
to beginning the plan review process. Delays in issuing the permit are
to be expected. Work may not proceed without the issuance of the
permit.
(2) If you have answered "Not necessary for this project" on any of the
questions and it is determined by the Building Official that the
information is necessary to review the application and plans to
determine minimum compliance with the adopted codes, please expect
the following:
A. The application may be placed behind more recent applications for
building permits in the review process and not reviewed until
required information has been provided and the application
rotates again to first position for review.
B. Delay in issuance of the permit.
C. Delay in proceeding with construction.
(3) If you answered "No" to this question the circumstances described in the
question could result in a "Stop Work Order" being issued or a
"Certificate of Occupancy" not being issued.
PerAppO1.94 Effective - January 1, 1995
6
I
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
i
Date Issued.
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
20te Zoned Area Permit No... (4%....i1
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
laws and regulations related to the zoning, location; construction and erection of the proposed
structure for which this permit is granted, and further agrees that if the above said regulations
are not fully complied with in the zoning, location, erection and construction of the above
described structure, the permit may then be revoked by notice from the County Building
Inspector and IMMEDIATELY BECOME NULL AND VOID.
Use
Address or Legal Description
Owner Lo. Ct
Setbacks
Front
Side
ContractorC:h4�. r4 -46%f
Side
Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing K,,Zx _5.-( 1,-i-47,4,Foundation
Underground Plumbing
Insulation
Rough Plumbing)i
Drywall
Chimney & Vent
Electric Final (by State Inspector) (- 7{2
Gas Piping
Final i i _ .1._ Lf _ c?. p
Electric Rough (By State Inspector) 9-i79y
Septic Final
Framing
(To include Roof in place and Windows
and Doors installed).
Notes:
,
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-9159 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED DO NOT DESTROY TIIIS CARD
Date! ` g�i� By
A
TF PT A ('F 11 OTTrrCnnF ' CON/cv xxrTTu CT F Al? PT A STTC